Active NPI
Miles Julian Roberts, L. AC
- Acupuncturist
- Carmichael, CA
National Provider Identifier
1609090281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC1099
- Practice address
- 3504 Walnut Ave
Carmichael, CA 95608-3050 - Phone
- (916) 483-0743
- NPI assigned
- Apr 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC1099 | CA | Primary |
Addresses
Primary practice location
3504 Walnut Ave
Carmichael, CA 95608-3050
Mailing address
3504 Walnut Ave
Carmichael, CA 95608-3050
Phone (916) 483-0743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC1099 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609090281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3504 WALNUT AVE",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956083050",
"telephone_number": "916-483-0743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3504 WALNUT AVE",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956083050",
"telephone_number": "916-483-0743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "MILES",
"middle_name": "JULIAN",
"name_prefix": "Mr.",
"credential": "L. AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC1099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.